NPI 1053959791

Wound Pros Nevada

Organisation General Practice Physician Las Vegas, NV

Practice location

Address: 1700 E Desert Inn Rd STE 103, Las Vegas, NV 89169-3206
Phone: (888) 880-3451
Mailing address: 4640 Admiralty Way STE 500, Marina del Rey, CA 90292-6636

Authorised official

Name: Christopher Ayodele Otiko
Title: President
Phone: (818) 836-2475

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1053959791
Entity type: Organization
NPI issued: 12 Dec 2019
Record last updated: 23 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.